Mankhwala Novonorm - malangizo ndi ndemanga kwa odwala matenda ashuga

NovoNorm (mapiritsi) Kutalika: 277

Wopanga: Novo Nordisk (Denmark)
Kutulutsa Mafomu:

• Tab. 1 mg, ma PC 30., Mtengo kuchokera 175 ma ruble
• Tab. 2 mg, ma PC 30., Mtengo kuchokera ku ma ruble 219

Mitengo ya NovoNorm muma pharmacain apamtaneti
Malangizo ogwiritsira ntchito

NovoNorm ndimakonzedwe a piritsi kuchokera ku gulu lomwelo lamankhwala, koma pogwiritsa ntchito njira ina. Repaglinide imagwiritsidwa ntchito pano pa mulingo wa 0,5 mpaka 2 mg. Zizindikiro zakupangira zikufanana, koma ma contraindication amasiyana chifukwa cha ma DV osiyanasiyana pamapiritsi, kotero werengani malangizo mosamala ndikuwonana ndi dokotala.

Mndandanda wa mankhwala NovoNorm

Analogue ndiokwera mtengo kwambiri kuchokera ku ma ruble 59.

Wopanga: Ikufotokozedwa
Kutulutsa Mafomu:

• Tab. 10 mg, 30 ma PC., Mtengo kuchokera 234 ma ruble
• Tab. 2 mg, ma PC 30., Mtengo kuchokera ku ma ruble 219

Mitengo ya Jardins muma pharmacin opezeka pa intaneti
Malangizo ogwiritsira ntchito

Jardins ndi mankhwala achilendo wochizira matenda amtundu wa 2. Empagliflozin mu 25 mg piritsi lililonse limagwira ntchito ngati gawo limodzi lokhazikika. Jardins ali ndi contraindication ndi zoletsa zaka, motero funsani ndi dokotala musanayambe chithandizo.

Analogue ndiokwera mtengo kwambiri kuchokera ku ma ruble 59.

Wopanga: Akrikhin (Russia)
Kutulutsa Mafomu:

• Tab. 1 mg, ma PC 30., Mtengo kuchokera 234 ma ruble
• Tab. 2 mg, ma PC 30., Mtengo kuchokera ku ma ruble 219

Mitengo ya Priclinid muma pharmacistine opezeka pa intaneti
Malangizo ogwiritsira ntchito

Novo Nordisk (Denmark) NovoNorm ndi piritsi lokonzekera kuchokera ku gulu lomwelo lamankhwala, koma lokhala ndi chinthu china. Repaglinide imagwiritsidwa ntchito pano pa mulingo wa 0,5 mpaka 2 mg. Zizindikiro zakupangira zikufanana, koma ma contraindication amasiyana chifukwa cha ma DV osiyanasiyana pamapiritsi, kotero werengani malangizo mosamala ndikuwonana ndi dokotala.

Analogue ndiokwera mtengo kwambiri kuchokera ku ma ruble 2278.

Wopanga: Ikufotokozedwa
Kutulutsa Mafomu:

• Tab. tsa / obol. 100 mg, 30 ma PC., Mtengo kuchokera 2453 rubles
• Tab. 2 mg, ma PC 30., Mtengo kuchokera ku ma ruble 219

Mitengo ya Invokana muma pharmacin opezeka pa intaneti
Malangizo ogwiritsira ntchito

Novo Nordisk (Denmark) NovoNorm ndi cholowa m'malo mwa Forsigi. Chokhacho chomwe chimagwira ntchito mankhwalawa ndi repaglinide. Mankhwala mkati mphindi 30 kumawonjezera insulin ndende mu magazi. Chifukwa chosowa deta pamaphunziro omwe amachitika pachitetezo cha mankhwalawa komanso kugwiritsa ntchito bwino mapiritsi pagulu la ana, sizikulimbikitsidwa kuti mugwiritse ntchito mankhwalawa kwa ana osakwana zaka 18. Mwanjira yonyansa, kutsegula m'mimba ndi kupweteka pamimba nthawi zambiri kumachitika.

Analogue ndiokwera mtengo kwambiri kuchokera ku ma ruble a 1967.

Wopanga: Ikufotokozedwa
Kutulutsa Mafomu:

• Tab. tsa / obol. 10 mg, 30 ma PC., Mtengo kuchokera ku 2142 rubles
• Tab. 2 mg, ma PC 30., Mtengo kuchokera ku ma ruble 219

Mitengo ya Forsiga mumafakitale opezeka pa intaneti
Malangizo ogwiritsira ntchito

Forsiga ndi piritsi yokonzekera mankhwalawa a mtundu 2 matenda a shuga ochokera dapagliflozin mu gawo la 5 mg. Itha kutumikiridwa kuphatikiza pa chakudya chamagulu a shuga ndi masewera olimbitsa thupi. Forsigi ali ndi contraindication ndi zoletsa zaka, werengani mosamala malangizo musanayambe chithandizo.

Kupanga ndi mawonekedwe a kumasulidwa

NovoNorm imayambitsidwa ndi nkhawa ya NovoNordisk, wopanga wodziwika bwino ku Denmark wopanga mankhwala ndi zinthu zina zokhudzana ndi matenda ashuga. Mapiritsi amapangidwa ku Germany ndi Denmark. Zomwe zimagwiritsidwa ntchito ndi mankhwalawa, repaglinide, zimachokera ku ma amino acid ndipo ndimagulu achidule. Ndi wochokera ku Germany (wopanga Beringer Ingelheim).

Piritsi limodzi la NovoNorm limatha kukhala ndi 0,5, 1 kapena 2 mg ya yogwira ntchito. Kuphatikiza pa izo, wowuma, povidone, potaziyamu ya polyacrylate, pluronic, glycerin, calcium hydrogen phosphate, ndi utoto waphatikizidwa. Ndizigawo zothandiza, ndiye kuti, zilibe chithandizo.

Momwe mungadziwire mankhwalawa oyambira:

1. Kuti mudziteteze pamabodza, piritsi lililonse limakhala ndi chizindikiro cha NovoNordisk - ng'ombe yopatulika yakale yaku Egypt.
2. Mankhwalawa amaikidwa m'matumba a foil, aliyense ali ndi mapiritsi 15.
3. Chotumphukacho chili ndi mafuta odzola, omwe amakupatsitsani kupatulira mlingo wa tsiku ndi tsiku popanda kugwiritsa ntchito lumo.
4. Mtundu wa mapiritsi a mitundu yosiyanasiyana ndi osiyana: 0.5 mg yoyera, 1 mg chikasu, 2 mg pinkish.

Mtengo wa phukusi lamapiritsi 30 sapitilira ma ruble 230. Mankhwalawa amatha kusungidwa kwa zaka 5 kutentha pa 15-30 ° C.

Mfundo zoyendetsera ntchito ya NovoNorm

Repaglinide ndi gawo la gulu la mankhwala omwe amatchedwa meglitinides. Mutha kuwazindikira kumapeto kwa-glinid m'dzina. Amachokera ku mitundu yambiri ya amino acid, makamaka repaglinide - carbamoyl-methyl-benzoic. Thupi limatha kumangirira kumalo ena apadera a potaziyamu omwe amapezeka pa membrane wa maselo a pancreatic beta. Mothandizidwa ndi repaglinide, njira izi zimatsekedwa, zomwe zimatsogolera kulowa kwa calcium mu maselo ndikuwonjezera syntulin.

Kutulutsidwa kwa insulin komwe kumayambitsa makonzedwe a NovoNorm kumayamba patatha mphindi 10 piritsi litalowa m'mimba. Mulingo wambiri m'magazi umapezeka pambuyo pa mphindi 50. Ngati mumwa mankhwalawa kwa mphindi 15 musanadye, kukula kwa shuga wamagazi ndikulimbikitsidwa kwa insulin kumagwirizana nthawi, zomwe zikutanthauza kuti glucose amatha kusiya ziwiya mwachangu.

Mosiyana ndi zotumphukira zotchuka za sulfonylurea (Maninil, Amaril, Glibenclamide, etc.), zochita za NovoNorm zimatengera glycemia. Ndi shuga wabwinobwino, limagwira ntchito kangapo kuposa shuga wowonjezera. Mukatha kugwiritsa ntchito Repaglinide, kuchuluka kwa insulin kumabwereranso mwakale pambuyo pa maola atatu. Malinga ndi madotolo, izi zimachepetsa pafupipafupi komanso kuopsa kwa hypoglycemia ngati munthu atamwa bongo kwambiri. Kukopa kwakanthawi kotereku kwa insulin kumasulidwa kumawerengedwa kuti kukuwononga, kuletsa kufooka kwa maselo a beta, motero kupitirira kwa shuga.

Zinthu zochotsa m'thupi

Repaglinide imatha kuyamwa mwachangu m'mimba, zomwe zimachitika chifukwa chakuyamba kwake. Bioavailability ndi kuphatikizika kwazinthu zomwe zili m'magazi zimasiyana kwambiri (mpaka 60%) mu mitundu yosiyanasiyana ya odwala matenda ashuga, motero, mulingo wa wodwala aliyense uyenera kusankhidwa payekhapayekha.

Repaglinide imapukusidwa ndi chiwindi, pambuyo pa ola limodzi ndende yake imachepetsedwa ndi theka. Mbali yayikulu ya pharmacokinetics ya chinthu ndi chimbudzi kuchokera mthupi makamaka kudzera m'mimba. Malinga ndi malangizowo, 92% ya repaglinide imatuluka ndi ndowe, 2% yaiwo mwa njira yogwira ntchito, 90% yotsala mwa mawonekedwe a metabolites. Impso zimakhala pafupifupi 8%, yomwe imalola kuti NovoNorm igwiritsidwe ntchito mu odwala matenda ashuga omwe ali ndi matenda oopsa a impso. Pambuyo maora 5, repaglinide samapezekanso m'magazi.

Ndani amakupatsani mankhwala?

NovoNorm imalembedwa kwa mitundu yachiwiri ya anthu ashuga awa:

1. Pamodzi ndi metformin atazindikira matendawa atapezeka, ngati hemoglobin ya glycated ndi yokwera kwambiri kuposa 9%, zomwe zikuwonetsa kupezeka kwa matenda osokoneza bongo kapena kupitilira msanga.
2. Monga m'malo sulfonylureas, ngati akupangika chifukwa cha matenda a impso, thupi lawo siligwirizana.
3. Monga gawo la chithandizo chovuta, odwala omwe ali ndi matenda a shuga a nthawi yayitali, ngati ali ndi vuto la insulin kapena gawo 1 la kapangidwe kake amasokonezeka (shuga imakwera mwachangu ndipo sagwa kwa nthawi yayitali atatha kudya).
4. Odwala a shuga omwe sangathe kukonza zakudya zawo. Mlingo wa NovoNorm ungasinthidwe kutengera kuchuluka kwa chakudya chamagulu mu chakudya.

Malangizo ogwiritsira ntchito amalangizidwa kutenga NovoNorm ndi metformin ndi glitazones. Malinga ndi ndemanga, mankhwalawa amayenda bwino ndi magulu onse a othandizira a hypoglycemic, kuphatikizapo insulin. Chosiyana ndi kukonzekera kwa sulfonylurea. Kuphatikizika kwawo ndi NovoNorm ndikovomerezeka, koma osavomerezeka, chifukwa kumatha kuyambitsa kwambiri hypoglycemia komanso kumayipa kwambiri mbali ya maselo a beta.

Contraindication

Mndandanda wa contraindication ogwiritsa ntchito NovoNorm mu shuga mellitus:

Doctor of Medical Science, Mutu wa Institute of Diabetesology - Tatyana Yakovleva

Ndakhala ndikuphunzira matenda a shuga kwa zaka zambiri. Zimakhala zowopsa anthu ambiri akamwalira, ndipo makamaka amakhala olumala chifukwa cha matenda ashuga.

Ndili wokonzeka kunena uthenga wabwino - Endocrinological Research Center ya Russian Academy of Medical Science yakwanitsa kupanga mankhwala omwe amachiritsiratu matenda ashuga. Pakadali pano, kugwiritsa ntchito bwino kwa mankhwalawa kuyandikira 98%.

Nkhani ina yabwino: Unduna wa Zaumoyo wateteza kukhazikitsidwa kwa pulogalamu yapadera yomwe imalipira mtengo wa mankhwalawo. Ku Russia, odwala matenda ashuga mpaka Meyi 18 (kuphatikiza) nditha kuipeza - Kwa ma ruble 147 okha!

Contraindication	Chifukwa choletsa
Hypersensitivity pazigawo za piritsi.	Momwe zimachitika kuti thupi siligwirizana ndi anaphylactic.
Mtundu umodzi wa matenda ashuga.	Matenda a shuga amtunduwu amadziwika ndi kuwonongeka konse kwa ma cell a beta, omwe samapatula kupanga insulin yake.
Ketoacidosis ndi wotsatira pachimake zovuta - pachimake ndi chikomokere.	The mayamwidwe ndi kuthetsanso repaglinide akhoza kuwonongeka, kotero odwala kusamutsidwa kwakanthawi insulin. Ndemanga zikuwonetsa kuti pambuyo poti chithandizo chatha, odwala ambiri amabwerera ku NovoNorm.
Matenda owopsa, kulowererapo kwa opaleshoni, kuvulala koopsa kwa moyo.
Mimba, hepatitis B, wazaka zosakwana 18 ndi zoposa 75.	Kugwiritsa ntchito ndizoletsedwa chifukwa cha kusowa kwa maphunziro omwe akutsimikizira chitetezo cha NovoNorm m'magulu a odwala matenda ashuga.
Kulephera kwamphamvu kwa chiwindi.	Chiwindi chimakhudzidwa ndi metabolism ya repaglinide, ndi kuperewera kwake, kugwiritsidwa ntchito kwa chinthu m'magazi kumawonjezeka.
Kutenga gemfibrozil kukonza lipids yamagazi.	Thupi limalimbikitsa machitidwe a Novo Norm, lingayambitse hypoglycemia. Kuzungulira kwa repaglinide kumawonjezeka ndi nthawi 2.4, nthawi yapafupipafupi imawonjezeredwa ndi maola atatu.

Kusankha kwa Mlingo

NovoNorm imwani mphindi 15 musanadye chakudya chamafuta. Malangizowo akuwalimbikitsa kugawa mu Mlingo wa 2-4 patsiku muzofanana.

Kusankhidwa kwa Mlingo kumachitika ndikuwunika pafupipafupi kwa glycemia. Malamulo Osankha:

1. Kuyamba limodzi mlingo ndi 0,5 mg.
2. Ngati chiphuphu cha matenda ashuga sichikwaniritsidwa, chikuwonjezeka pambuyo pa sabata limodzi mpaka 1 mg.
3. Pakukweza ndalamazo ndi 0,5 mg, zitha kubweretsedwa mpaka 4 mg mu 1 mlingo. Mlingo wambiri watsiku ndi tsiku ndi 16 mg. Ngati sichingawongolere shuga, wodwalayo ayenera kusintha kadyedwe, ndipo ngati njirayi singagwire, sinthanani ndi mankhwala amphamvu kapena insulin.

Zochita zosafunikira

Malinga ndi ndemanga ya odwala matenda ashuga omwe amamwa mankhwalawa, nthawi zambiri amakumana ndi shuga osafunikira atamwa mapiritsi. Zoyambitsa zake zimatha kukhala kuchuluka kwa mankhwala obwezeretsanso, kusowa kwa chakudya m'thupi, kupukusa munthu payekha, kupsinjika kwa thupi ndi malingaliro. Kuopsa kwa hypoglycemia kumawunikiridwa ndi malangizo monga pafupipafupi (1-10%). Ndi mwayi womwewo womwe ungatheke - kutsegula m'mimba ndi kupweteka pamimba.

Zotsatira zoyipa ndizochepa kwambiri, mwa ochepera 0,1% odwala. NovoNorm ingayambitse chifuwa, kudzimbidwa, mseru, kumathandizira kupanga chiwindi michere.

Analogs ndi choloweza NovoNorma

Chingalowe m'malo ndi NovoNorm ngati sichikhala chololera kapena sichikupezeka muma pharmacies:

Gulu la analog		Dzina, wopanga
Kukwaniritsa kwathunthu, yogwira mankhwala - repaglinide		Dziwani za Akrikhin.
		Iglinid wochokera ku Pharmasynthesis.
Zofanizira zamagulu, meglitinides		Starlix (yogwira mankhwala - nateglinide, wopanga NovartisPharma).
Kuphatikizika kwina kwa insulin kopitilira magulu ena	Sulfonylureas	Diabeteson (gliclazide, Serviceier), Maninil (glibenclamide, Berlin-Chemie), Amaryl (glimepiride, Sanofi), Glurenorm (glycvidone, Beringer Ingelheim) ndi mayina awo.
	DPP4 Ma Inhibitors	Xelevia (sitagliptin, Berlin-Chemie), Onglisa (saxagliptin, AstraZeneca), Galvus (vildagliptin, NovartisFarma), etc.

Mu shuga mellitus, m'malo mwa NovoNorm omwe ali ndi ma analogues athunthu amatha kuchitika palokha, amamwa mankhwalawo omwewo muyezo womwewo. Kusinthira ku mapiritsi ena onse kuchokera pagome pamwambapa kumafuna kusankha kwa mlingo ndipo ukhoza kuchitidwa moyang'aniridwa ndi kupezeka kwa dokotala.

Kuphatikizika ndi mankhwala

NovoNorma, chithunzi chake chomwe chaperekedwa m'gawoli, chili ndi gawo lokhazikika la repaglinide lothandizidwa ndi cellulose, wowuma chimanga, potaziyamu polacryline, glycerin, povidone, calcium hydrogen phosphate, magnesium stearate, iron oxide, poloxamer, meglumine, ndi utoto.

Mankhwalawa amatha kuzindikiridwa ndi mawonekedwe ake (mapiritsi a convex ozungulira), mtundu (wachikasu pa 1 mg ndi bulauni, wokhala ndi pinki tint pa 2 mg) ndikulemba chizindikiro cha kampani - Novo Nordisk. Mapiritsi okhala m'matumba a 15 ma PC.

Mu bokosi lambale oterowo amatha kukhala awiri kapena asanu ndi mmodzi. Ku Novonorm, mtengo ndi imodzi mwazinthu zopanga bajeti ya mankhwala antidiabetes: 177 rubles. mapiritsi 30. Mankhwala omwe mumalandira amamasulidwa. Wopanga Danish adatsimikiza moyo wa alumali wa repaglinide pasanathe zaka zisanu. Mankhwala safuna mikhalidwe yapadera kuti asungidwe.

Pharmacology

Pansi pophika Repaglinide ndi chofunikira kwambiri chothandizira kupanga amkati wa insulin. Kulimbitsa ntchito ya kapamba, mankhwalawa amatulutsa glycemia mwachangu. Mphamvu zake zimagwirizana mwachindunji ndi kuchuluka kwa ma cell a b omwe amachititsa kuti pakhale kuphatika kwa mahomoni.

Mutatha kumwa piritsi, repaglinide mu plasma mu diabetes amakumana mu theka la ola. Izi zimakuthandizani kuti muzilamulira glycemia panthawi yotsatira yomwe kudya komanso kukonza zakudya. Momwemo katundu wam'mimba utachepa, kuchuluka kwa mankhwalawo kumachepa, osachepera 4 ma mankhwalawa atatha kulowa m'matumbo am'mimba.

Chitetezo cha mankhwalawa chinayesedwa munthawi yamankhwala. Kutsika komwe amadalira mlingo wa glycemic kudalembedwa ndikugwiritsa ntchito 0.5-4 mg NovoNorm. Zotsatira zimatsimikizira kuthekera kwa kudya kwa prrandial (15-30 mphindi musanadye) kumwa mankhwalawa.

Pharmacokinetics

Repaglinide imatengeka mwachangu kuchokera m'mimba. Kuwerengera kwamphamvu kwambiri kwa magazi kumawonedwa ola limodzi atatha kumeza kenako amachepetsa mwachangu ndi bioavailability yokwanira 63% yokhala ndi mgwirizano wa 11%.

NovoNorm imachotsedwa mu maola 4-6 ndi theka la moyo pafupifupi ola limodzi. Mankhwalawa amapukusidwa kwathunthu, koma ma metabolites ake satha ntchito. Gawo laling'ono lazinthu zomwe zidagwiritsidwa ntchito linapezeka mumkodzo ndi ndowe - mpaka 8% ndi 2%, motero. Kukula kwakukulu kwa metabolites kumatha ndi bile.

Mphamvu ya mankhwalawa imatchulidwa kwambiri mu odwala matenda ashuga komanso kwa onse omwe ali ndi vuto la impso. Pambuyo masiku 5 kumwa NovoNorm muyezo wa 3 r. / Tsiku. 2 mg mu mitundu yayikulu ya aimpso kukanika AUC ndi TЅ kuchulukitsa.

Ana ashuga sanatenge nawo ziyeso. Kafukufuku wazinyama sanawonetse zotsatira za teratogenic mu repaglinide, koma adapeza zoopsa. Pa mlingo waukulu wa mankhwalawo, kusokonezeka kwa makoswe kumawonedwa, mankhwalawo amalowerera mkaka wa amayi wa akazi.

Mankhwalawa amaphatikizidwa ndi mankhwala othandizira odwala matenda opatsirana pogwiritsa ntchito njira ina yogwiritsira ntchito - metformin, thiazolidinediones, kotero angagwiritsidwenso ntchito povuta.

Contraindication for Repaglinide

Kuphatikiza pa hypersensitivity pazosakaniza za formula, repaglignide sichinatchulidwe:

1. Ndi matenda a shuga 1 amtundu wa shuga komanso matenda osokoneza bongo a C-peptide.
2. Mu mkhalidwe wa matenda a shuga a ketoacidosis (ngakhale mutasowa chikomokere),
3. Amayi oyembekezera komanso oyembekezera
4. Anthu odwala matenda ashuga omwe ali ndi vuto losokonezeka kwambiri kwa chiwindi,
5. Momwemonso kugwiritsidwa ntchito kwa gemfibrozil.

Malangizo ogwiritsira ntchito

Dokotala amasankha yekha mankhwalawo mosamala, poganizira zotsatira za mayeso, gawo la matendawa, matenda amtunduwu, msinkhu, komanso momwe thupi limayankhira mankhwala.Pakupita milungu iwiri iliyonse, imayang'anira kuyendera bwino kwa njira yosankhidwa kuti imveketse bwino, hemoglobin ya glycated imapereka chowunikira.

Kuwunikira ndikofunikira kuti muchepetse glycemia pamlingo wofunikira kwambiri (kulephera kwakukulu) ndikuzindikira kusakhalapo koyenera pambuyo pake pakumwa mankhwala (yachiwiri kulephera).

Kwa NovoNorma, malangizo omwe angagwiritsidwe ntchito amalimbikitsa muyeso wa 0,5 mg. Kwa theka la mwezi ndikotheka kale kuwunika momwe thupi limagwirira ntchito komanso momwe akumvera. Ngati matenda a shuga a NovoNorm asamutsidwa kuchokera kwa wothandizira wina wa hypoglycemic, ndiye kuti mlingo woyambira uyenera kukhala mkati mwa 1 mg.

Njira yothandizira pakukonzekera imaphatikizanso kugwiritsa ntchito repaglinide mpaka 4 mg / tsiku. 15-30 mphindi asanadye. Muyenera kumwa piritsi musanadye chilichonse, chifukwa mphamvu ya mankhwalawa pakamgaya siikhala yochepa. Mlingo woyenera wa mankhwalawa ndi 16 mg / tsiku. mapiritsiwo amagawidwa kawiri kapena katatu.

Ndi chithandizo chovuta ndi metformin kapena thiazolidinediones, mlingo woyambirira wa reaglinide sudutsa 0.5 mg, mlingo wa mankhwala ena umasinthidwa.

Palibe zambiri pa chitetezo cha NovoNorm cha ana.

Mankhwala osokoneza bongo osokoneza bongo komanso osafunika

Mwa zolinga za sayansi, kwa masabata 6, repaglinide idaperekedwa kwa odzipereka mu 4-20 mg / tsiku. Pamene ntchito anayi. Hypoglycemia mikhalidwe ya kuyesera idayendetsedwa ndi zopatsa mphamvu za zakudya, kotero sizinadzetse zotsatirapo zake.

Ngati kunyumba pali zizindikiro za kuchuluka kwa thukuta, kuchuluka kwa thukuta, kunjenjemera, migraines ndi kutayika kwa mgwirizano, ndikofunikira kupatsa wodwalayo zakudya zamafuta ambiri othamanga. Ngati vutoli lakula kwambiri ndipo wodwalayo atha kuzindikira, amadzipaka ndi glucose ndikumutumiza kuchipatala.

Hypoglycemia ndi imodzi mwamtundu wa zoopsa zomwe sizinachitike. Pafupipafupi mawonekedwe ake amawonetseredwa ndi moyo wa odwala matenda ashuga: zakudya, mulingo wa minofu ndi kupsinjika, mulingo komanso mankhwala. Ziwerengero zamilandu zoterezi zimawonetsedwa patebulo.

Organs ndi kachitidwe	Mitundu ya zochita zoyipa	Zowopsa
Chitetezo chokwanira	ziwengo	zosowa kwambiri
Njira zachikhalidwe	hypoglycemia	osadziwika
Masomphenya	kusintha	nthawi zina
Mtima ndi mitsempha yamagazi	mtima	pafupipafupi
Matumbo	kupweteka kwa epigastric, defecation rhythm chisokonezo, zovuta kwa dyspeptic	pafupipafupi osowa
Chikopa	Hypersensitivity	osadziwika
Chimbudzi	kukanika kwa chiwindi, kukula kwa enzyme	zosowa kwambiri

Pewani zovuta zomwe zingakulowetseni pang'ono pang'onopang'ono, kutenga matenda, matenda, uchidakwa, anthu odwala matenda ashuga ayenera kulimbikitsidwa.

Kodi ndingasinthe bwanji NovoNorm

Kwa NovoNorm, ma analogu amasankhidwa malinga ndi dongosolo lapadziko lonse lapansi la kapangidwe ka mankhwala ATS (anatomical, achire komanso gulu la mankhwala). Repaglinide mu kapangidwe kake imakhala ndi mankhwala ena awiri - Repodiab ndi Insvada.

Malinga ndi zomwe zikuwonetsa komanso momwe angagwiritsire ntchito, ma repaglinides ndi ofanana:

• Guarem
• Baeta
• Victoza
• Lycumia,
• Forsiga
• Saxenda
• Jardins
• Attokana.

Amaril, Bagomet, Glibenclamide, Glibomet, Glyukofazh, Glurenorm, Gliklazid, Diabeteson, Diaformin, Metformin, Maninil, Ongliza, Siofor, Yanumet, Yanuviya ndi ena ambiri ali pafupi ndi code 3 ATC code (kapangidwe kake ndi kosiyana).

Pazosiyanasiyana zamankhwala amakono a hypoglycemic, madokotala omwe amagwiritsa ntchito mankhwala samakhazikika nthawi zonse, ndipo sizovomerezeka kuti odwala matenda ashuga azitha kugwiritsa ntchito mankhwala osaphunzitsidwa zachipatala. Zomwe zili m'nkhaniyi zimangoperekedwa kuti zingochitika zokha.